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General NPI Number Information
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NPI Number | 1477898419
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Entity Type | Organization
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Legal Business Name | UPSCRIPT PHARMACY, LLC
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Dates
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Enumeration Date | 12/03/2012
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 9826 S JORDAN GTWY
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City | SANDY
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State | UT
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Zip | 84070-9509
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Country | US
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Telephone | 801-262-6601
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Fax | 801-561-5115
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Provider Business Mailing Address
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Address Line | 9826 S JORDAN GTWY
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City | SANDY
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State | UT
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Zip | 84070-9509
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Country | US
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Telephone | 855-289-3552
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Fax |
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Authorized Official
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Title or Position | CPO-PHARMACIST IN CHARGE
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Name | LISA DIMICK
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Credential | PHARMACIST
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Telephone | 801-262-6601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 84491001704
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License Number State | UT
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